Penn Valley Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

PENN VALLEY NUTRITION LLC

Practice address

815 Cricket Ave Apt a
Ardmore, PA 19003-2052

Phone

(484) 297-9828

NPI assigned

Aug 12, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian McAnany, MPH, RDN, LDNNPI 1376260141

Title

Owner / Registered Dietitian

Phone

(484) 639-7329

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian James McAnany, RDN

  • Registered Dietitian
  • Ardmore, PA
  • NPI 1376260141

  Dietitian, Registered

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1386475242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 CRICKET AVE APT A",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032052",
            "telephone_number": "484-639-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 CRICKET AVE APT A",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032052",
            "telephone_number": "484-297-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN VALLEY NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "MCANANY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER / REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "484-639-7329",
        "authorized_official_credential": "MPH, RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Ardmore, PA
• Providers in Ardmore, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.